Bacteriology of Urinary Tract Infection in Children Attending Federal Staff Hospital in Abuja

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DOI: 10.21522/TIJAR.2014.SE.23.01.Art007

Authors : Bassey M Grace, Damen James Garba, Theophilus, Adeshina Mary

Abstract:

Urinary tract infection (UTI) is a term applied to a variety of clinical conditions ranging from asymptomatic presence of bacteria in the urine to severe infection of the kidney with resultant sepsis. The study was designed to identify the bacteria associated with urinary tract infection among children attending Federal staff hospital, Abuja and to ascertain their antibiogram. Mid-stream urine samples were collected from the subjects enrolled into the study and were cultured into Cysteine Lactose electrolyte deficient medium and Blood agar and incubated appropriately. The plates were read and isolated were subjected to biochemical reactions and antibiogram were carried out on pathogenic organisms. The results showed the overall prevalence of 10.8% urinary tract infections among the studied subjects. The females subject had the highest prevalence of 91.7% while the male counterpart recorded 8.3%. The age groups 1-5 years had the highest prevalence of 50.0% while least prevalent of 16.7% were recorded by age group 6 to 10 years old. Escherichia coli was the highest isolated with 51.7% while Proteus Species and Streptococcus faecalis recorded the prevalence of 2.5% respectively. This study concluded that urinary tract infections is very common among children attending Federal staff hospital in Abuja.

Keywords: BA- Blood agar, CLED-Cysteine Lactose, Electrolyte deficient medium, FSH-Federal Staff Hospital, UTI- Urinary Tract Infection.

References:

[1] Twaji .M, (2000) Urinary tract infection in children: a review of its pathogenesis and risk factors. J R Soc health, 120: 220-6.

[2] Struthers S, Scanlon J, Parker K, Goddard J, Hallett R, Parental reporting of smelly urine and urinary tract infection. Arch Dis Child. 2003, 88;250-2.

[3] Shaikh N, Morone NE, Bost JE, (2008) Prevalence of urinary tract infection in childhood: a meta-analysis. Pediatr Infect Dis J. 27:302-308.

[4] Hansson S, Jodal U., Lippincott Williams & Wilkins; Avner ED, Harmon W, Niaudet P., (2004): Urinary tract infection in Pediatric nephrology 5th ed. Philadelphia, PA: 1007-1025.

[5] Deville WL, Yzermans JC, van Duijn NP, Bezemer PD, van der Windt DA, Bouter LM (2004) The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy. BMC Urol. 2004; 4:4.

[6] Al-Achi,Antoine(2008).An introduction to botanical medicines: history, science, uses, and dangers and westport, Conn, :Praeger Publishers.p.126.ISBN 978-0-313-35009-2.

[7] Hoberman A, Chao HP, Keller DM, Hickey, Davis HIV, Ellis D. (1993), Prevalence of Urinary tract infection in febrile infants. J. Pediatr. 123:17-23.

[8] Monica Cheesbrough (2006) District Laboratory Practice in Tropical Countries, 2nd edition, part 2;pg.105-115;389-405.

[9] Bachur. R. Harper MB (2001). Reliability of the urinalysis for predicting urinary tract infections in young febrile children Arch Fediatr Adolesc. Med. 155:605.

[10] Jepson, RG, Mihaljevic L, Craig J. Cranberries. (2004) for preventing urinary tract infections. Cochrane Database System Rev;(4):CD001321.

[11] Baker, F.J; Kilshaw, D;Silverton, R.E. (1985) Introduction to Medical laboratory Technology sixth edition, Butterworths and co. (publishers)ltdp.136-148.

[12] Hummers- Pradier E, Ohse AM, Koch M, Heizmann WR, Kochen MM. (2004) Urinary tract infection in men. Int J Clin Pharmacol Ther.;42:360–6.

[13] Ahmed,S and Swedlund, S.K. M.D,(1998), Evaluation and Treatment of urinary Tract Infections
in children by (American Family Physician https://www.aafp.org/afp/980401ap/ahmed2.htm.

[14] Bachur. R. Harper MB (2001). Reliability of the urinalysis for predicting urinary tract infections in young febrile children Arch Fediatr Adolesc. Med. 155:60-5.

[15] Bauer A.W,Kirby W M. M.et al. (1996 )Antibiotic susceptibility testing by standardized single disc method. Amer J Clin Path; 451:493-496.

[16] Ochei, O.J., Kolhatkar.,(2007),Medical Laboratory Science ,Theory and Practice, Tata McGraw-Hill Publishing Company Limited, New Delhi, page 111-151.